Healthcare Provider Details

I. General information

NPI: 1740949932
Provider Name (Legal Business Name): FRANCIS ALEIDA GOMEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2021
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4203 SW HIGH MEADOWS AVE
PALM CITY FL
34990-3726
US

IV. Provider business mailing address

4203 SW HIGH MEADOWS AVE
PALM CITY FL
34990-3726
US

V. Phone/Fax

Practice location:
  • Phone: 772-220-5560
  • Fax:
Mailing address:
  • Phone: 772-222-5560
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberG228-842-30-000-0
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: